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Emerging Updates of Radiation Oncology for Surgeons, An Issue of Surgical Oncology Clinics of North America, E-Book

Emerging Updates of Radiation Oncology for Surgeons, An Issue of Surgical Oncology Clinics of North America, E-Book

Adam Raben

(2017)

Additional Information

Book Details

Abstract

This issue of Surgical Oncology Clinics of North America, guest edited by Dr. Adam Raben, is devoted to Radiation Oncology. Dr. Raben has assembled expert authors to review the following topics: Radiation Oncology Management of Stage I-III Cervix Cancer; Radiotherapy and Radiosurgery Updates for Tumors of the Central Nervous System; Advances in Treatment of Anal Cancer with Intensity Modulated Radiation Therapy; Management of Stage 1 Lung Cancer with SRS; Postoperative Radiation Management for Head and Neck Cancers; Changing Paradigm of Radiation Management of Breast Cancer; Changing Role of Radiation Therapy in Melanoma: In Situ Vaccine with PD-1 after Surgery for Stage II-IV; Brachytherapy in the Management of Prostate Cancer; Optimal Use of CMT in the Treatment of Esophagus Cancer; Updates in Radiotherapy after Postmastectomy; and more!

Table of Contents

Section Title Page Action Price
Front Cover Cover
Emerging Updates ofRadiation Oncology forSurgeons\r i
Copyright\r ii
Contributors iii
CONSULTING EDITOR iii
EDITOR iii
AUTHORS iii
Contents vii
Foreword vii
Preface: Update of Practical Radiation Oncology Management Trends for Surgeons vii
Update on Radiotherapy for Central Nervous System Malignancies vii
Controversies in Postoperative Irradiation of Oropharyngeal Cancer After Transoral Surgery vii
Updates in the Treatment of Breast Cancer with Radiotherapy vii
Updates in Postmastectomy Radiation viii
Management of Stage I Lung Cancer with Stereotactic Ablative Radiation Therapy viii
Optimal Use of Combined Modality Therapy in the Treatment of Esophageal Cancer viii
The Role of Radiation Therapy for Pancreatic Cancer in the Adjuvant and Neoadjuvant Settings viii
Evolving Role of Radiotherapy in the Management of Rectal Carcinoma ix
Radiotherapy for Anal Cancer: Intensity-Modulated Radiotherapy and Future Directions ix
Radiation Oncology Management of Stage I–III Cervix Cancer ix
Brachytherapy in the Management of Prostate Cancer x
Novel Opportunities to Use Radiation Therapy with Immune Checkpoint Inhibitors for Melanoma Management\r x
SURGICAL ONCOLOGY\rCLINICS OF NORTH AMERICA\r xi
FORTHCOMING ISSUES xi
October 2017 xi
January 2018 xi
April 2018 xi
RECENT ISSUES xi
April 2017 xi
January 2017 xi
October 2016 xi
Foreword xiii
Preface\r xv
Update of Practical Radiation Oncology Management Trends for Surgeons\r xv
Update on Radiotherapy for Central Nervous System Malignancies 347
Key points 347
INTRODUCTION 347
BRAIN METASTASES 348
PRIMARY BRAIN MALIGNANCIES 350
HIGH-GRADE GLIOMA 350
LOW-GRADE GLIOMA 352
SUMMARY 353
REFERENCES 353
Controversies in Postoperative Irradiation of Oropharyngeal Cancer After Transoral Surgery 357
Key points 357
TRANSORAL SURGERY IN OROPHARYNGEAL CANCER TREATMENT 357
IMPACT OF HUMAN PAPILLOMAVIRUS ON PROGNOSIS AND STAGING OF OROPHARYNGEAL CANCER 358
SAFETY AND ONCOLOGIC OUTCOMES OF TRANSORAL ROBOTIC SURGERY FOR OROPHARYNGEAL CANCER 362
CONTROVERSIES IN ADJUVANT THERAPY FOLLOWING TRANSORAL SURGERY FOR OROPHARYNGEAL CANCER 363
MARGIN STATUS IN THE DETERMINATION OF ADJUVANT THERAPY AFTER TRANSORAL SURGERY 363
EXTRACAPSULAR EXTENSION AS A RISK FACTOR AFTER TRANSORAL SURGERY 365
DOSE AND EXTENT OF RADIATION FIELDS AFTER TRANSORAL SURGERY 365
SUMMARY 366
REFERENCES 366
Updates in the Treatment of Breast Cancer with Radiotherapy 371
Key points 371
INTRODUCTION 371
HISTORICAL CONTEXT 372
CONSENSUS GUIDELINES ON MARGINS 372
SHORT-COURSE BREAST RADIOTHERAPY 373
Accelerated Partial-Breast Irradiation 373
Hypofractionated Whole-Breast Irradiation 375
REGIONAL NODAL MANAGEMENT 376
SUMMARY 378
REFERENCES 379
Updates in Postmastectomy Radiation 383
Key points 383
PMRT FOR 1 TO 3 POSITIVE NODES 384
NODE-NEGATIVE DISEASE WITH HIGH-RISK FEATURES 386
CONSIDERATIONS FOR POSTMASTECTOMY RADIATION AFTER NEOADJUVANT CHEMOTHERAPY 387
TARGET VOLUMES 388
POSTMASTECTOMY RADIATION THERAPY TECHNIQUES 389
REFERENCES 390
Management of Stage I Lung Cancer with Stereotactic Ablative Radiation Therapy 393
Key points 393
INTRODUCTION 393
TREATMENT OPTIONS FOR EARLY STAGE NON–SMALL CELL LUNG CANCER 394
DEVELOPMENT OF STEREOTACTIC ABLATIVE RADIATION THERAPY 394
BIOLOGIC RATIONALE FOR STEREOTACTIC ABLATIVE RADIATION THERAPY 395
Vascular Effects 396
Accelerated Repopulation 396
Dose Escalation 396
Systemic Effects 396
CLINICAL SERIES 396
Surgery versus Stereotactic Ablative Radiation Therapy 397
TECHNICAL CONSIDERATIONS 398
Nomenclature 398
Technical Requirements 398
Motion Management 398
Advanced Image Guidance 399
Planning Considerations 399
TOXICITY OF LUNG STEREOTACTIC ABLATIVE RADIATION THERAPY 399
SUMMARY 400
REFERENCES 400
Optimal Use of Combined Modality Therapy in the Treatment of Esophageal Cancer 405
Key points 405
EPIDEMIOLOGY 405
RISK FACTORS 406
ANATOMY 407
STAGING AND WORKUP 408
TREATMENT MODALITIES 409
Surgery 409
Systemic Therapy 413
Radiotherapy 414
TREATMENT 415
Early Stage Disease 415
Surgical Multimodality Options: Neoadjuvant Therapy 417
Surgical Multimodality Options: Adjuvant Therapy 419
Nonsurgical Multimodality Options: Definitive Chemoradiation 420
Metastatic Disease 421
SUMMARY 422
REFERENCES 423
The Role of Radiation Therapy for Pancreatic Cancer in the Adjuvant and Neoadjuvant Settings 431
Key points 431
INTRODUCTION 431
STAGING 432
ADJUVANT RADIATION THERAPY FOR PANCREATIC CANCER 433
NEOADJUVANT THERAPY RATIONALE: RESECTABLE PANCREATIC CANCER 434
NEOADJUVANT THERAPY: RESECTABLE PANCREATIC CANCER 435
NEOADJUVANT THERAPY: BORDERLINE RESECTABLE PANCREATIC CANCER 438
RADIATION TECHNIQUES: FROM TWO-DIMENSIONAL TO INTENSITY-MODULATED RADIATION THERAPY 439
PROTON THERAPY 443
PERSONALIZED TREATMENT AND FUTURE DIRECTIONS 444
IMMUNOTHERAPY 445
SUMMARY 446
REFERENCES 446
Evolving Role of Radiotherapy in the Management of Rectal Carcinoma 455
Key points 455
INTRODUCTION 455
FROM SURGERY ALONE TO COMBINED MODALITY THERAPY 456
PREOPERATIVE RADIATION THERAPY REGIMENS 456
ALTERNATIVE NEOADJUVANT TREATMENT STRATEGIES 458
NONOPERATIVE MANAGEMENT 460
REDUCING TOXICITY WITH ADVANCED RADIATION TREATMENT PLANNING 461
SUMMARY 463
REFERENCES 463
Radiotherapy for Anal Cancer 467
Key points 467
INTRODUCTION 467
EPIDEMIOLOGY 468
HISTORICAL CONTEXT 468
TOXICITY OF DEFINITIVE CHEMORADIOTHERAPY 469
INTENSITY-MODULATED RADIATION THERAPY AND TOXICITY REDUCTION 470
FUTURE DIRECTIONS 472
Dose Escalation for Locally Advanced Disease 472
Dose De-escalation for Early Stage Disease 472
Biologic and Immunotherapy 473
SUMMARY 473
ACKNOWLEDGMENTS 473
REFERENCES 473
Radiation Oncology Management of Stage I–III Cervix Cancer 477
Key points 477
INTRODUCTION 477
POSTOPERATIVE RADIOTHERAPY 478
DEFINITIVE RADIOTHERAPY 478
EXTERNAL BEAM TECHNIQUES 479
BRACHYTHERAPY BOOST TECHNIQUES 479
Timing of Brachytherapy 480
High-Dose Rate Brachytherapy Versus Low-Dose Rate Brachytherapy 481
Applicator Selection 482
Ring/ovoid and tandem 482
Vaginal cylinder 483
Interstitial brachytherapy 483
Imaging for Brachytherapy Treatment Planning 484
FUTURE DIRECTIONS 485
Stereotactic Body Radiotherapy 485
Proton Therapy 485
Ongoing National Trials 485
SUMMARY 486
REFERENCES 487
Brachytherapy in the Management of Prostate Cancer 491
Key points 491
INTRODUCTION 491
THE RATIONALE FOR BRACHYTHERAPY IN THE MANAGEMENT OF PROSTATE CANCER 492
PROSTATE BRACHYTHERAPY TECHNICAL FACTORS 494
CATEGORIES OF PROSTATE BRACHYTHERAPY 495
Low Dose Rate Brachytherapy 495
High Dose Rate Brachytherapy 497
Consideration of brachytherapy according to prostate cancer risk group stratification 497
Clinical Outcomes of Prostate Cancer 498
Brachytherapy alone 498
Brachytherapy in combination with external beam radiation therapy 500
Brachytherapy Toxicities and Quality of Life Impacts 501
Brachytherapy as a Salvage Treatment 502
Recent Developments and Future Directions 503
SUMMARY 504
REFERENCES 504
Novel Opportunities to Use Radiation Therapy with Immune Checkpoint Inhibitors for Melanoma Management 515
Key points 515
INTRODUCTION 515
ANTI–CYTOTOXIC T LYMPHOCYTE ANTIGEN 4 THERAPY 516
ANTI–PROGRAMMED CELL DEATH 1 THERAPY 517
COMBINATION THERAPY WITH ANTI–PROGRAMMED CELL DEATH 1 AND ANTI–CYTOTOXIC T LYMPHOCYTE ANTIGEN 4 AGENTS 518
RADIATION THERAPY AND IMMUNE CHECKPOINT INHIBITORS: PRECLINICAL DATA 518
RADIATION THERAPY AND IMMUNE CHECKPOINT INHIBITORS: SYSTEMIC CLINICAL DATA 520
Case Reports 520
Case Series 521
RADIATION THERAPY AND IMMUNE CHECKPOINT INHIBITORS: INTRACRANIAL CLINICAL DATA 524
SUMMARY 525
REFERENCES 525